Overview
Laryngomicrosurgery requires deep paralysis and general anesthesia to finish the procedure. After the procedure, patients need a long time to recover. In the present study, with the support of the transnasal humidified rapid-insufflation ventilatory exchange, laryngomicrosurgery would be finished under nonintubated deep paralysis (NIDP) general anesthesia. In this case series study, the investigators will test the safety and feasibility of such a technique.
Eligibility
Inclusion Criteria:
- elective polypectomy of unilateral vocal cord
- age between 18 to 40
- be able to communicate
- estimated operation time less than 15min
- ASA I-II
- Agree to sign written informed consent
Exclusion Criteria:
- pregnancy or breastfeeding women
- severe gastrointestinal reflex disease
- neuromuscular disease
- body mass index(BMI)>30
- predictable difficult airway.
- allergy to medicine would be used in the present study including propofol, remifentanil or sugammadex